Abstract
Background: Aortic dissections that present only with symptoms of lower extremity
ischemia are rare. Few case reports exist documenting this phenomenon. Objectives:
We report an unusual case of aortic dissection presenting as unilateral lower extremity
pain. Case Report: A 56-year-old man presented with left lower extremity pain of 1
h duration. He had no associated complaints. Doppler imaging revealed decreased flow
in the left iliac artery, thus, initial treatment with anticoagulation was begun for
presumptive obstruction. Subsequent imaging with arteriography revealed a Stanford
type A/DeBakey type 1 aortic dissection. This was confirmed by computer-assisted tomography
angiography, and the patient was taken to surgery for repair. Conclusion: It is important
to consider the connection between lower extremity symptoms and possible aortic dissection.
Keywords
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References
- Abdominal catastrophes and limb arterial occlusions caused by acute aortic dissections.Magy Seb. 2000; 53: 99-103
- ILEAD—ischemia of the lower extremities due to aortic dissection: the isolated presentation.Clin Cardiol. 1999; 22: 353-356
- Expert panel on cardiovascular imaging—acute chest pain—suspected aortic dissection [online publication].American College of Radiology, Reston, VA2005
Article info
Publication history
Published online: March 31, 2009
Accepted:
February 5,
2009
Received in revised form:
December 11,
2008
Received:
September 12,
2008
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
